Organization Active NPI

Ri Dental Care PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1851987622
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RI DENTAL CARE PC
Practice address
2505 University Ave FRNT 1
Bronx, NY 10468-4011
Phone
(718) 733-6600
NPI assigned
Dec 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rafael Isakharov, DDSNPI 1750459194
Title
Owner/Dentist
Phone
(718) 897-9745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2505 University Ave FRNT 1
Bronx, NY 10468-4011

Mailing address

2505 University Ave FRNT 1
Bronx, NY 10468-4011
Phone (718) 733-6600

Other names 1

  • University Dental Associates Other name

National Provider Directory

National Provider Directory

Locations

2505 University Ave
Frnt 1
Bronx, NY 10468
Phone (718) 733-6600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1851987622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 UNIVERSITY AVE FRNT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684011",
            "telephone_number": "718-733-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 UNIVERSITY AVE FRNT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684011",
            "telephone_number": "718-733-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RI DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "ISAKHAROV",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "718-897-9745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Dental Associates",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "University Dental Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.